ADVANCE CARE MEDICAL PCP GEORGIA, INC.
NPI 1679221030
Clinic/Center - Primary Care in Hiram, GA

Active since March 15, 2022
5749 WENDY BAGWELL PKWY, HIRAM, GA 30141(866) 668-2188 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advance Care Medical Pcp Georgia, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCE CARE MEDICAL PCP GEORGIA, INC. (NPI 1679221030), doing business as Advance Care Meidcal Hiram Ga, is a healthcare organization registered as a primary care in Hiram, Georgia and active in the NPI registry since March 2022. The organization lists Justin Smith, Executive Chairman, as its authorized official.

NPPES Registry Identity

NPI1679221030
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameADVANCE CARE MEDICAL PCP GEORGIA, INC.
Location Address5749 WENDY BAGWELL PKWYHiram, GA 30141-2815
Mailing Address3 School St Ste 303Glen Cove, NY 11542-2548 · (866) 668-2188
Organization SubpartNo
Authorized OfficialJustin SmithExecutive Chairman · (866) 668-2188
Enumeration DateMarch 15, 2022
NPPES CertifiedMarch 2, 2022
NPI 1679221030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
5749 WENDY BAGWELL PKWY, Hiram, GA 30141

Other Names 1

Doing Business AsAdvance Care Meidcal Hiram Ga

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
5749 WENDY BAGWELL PKWY
HIRAM, GA 30141
Clinic/Center (Urgent Care)
5749 WENDY BAGWELL PKWY
HIRAM, GA 30141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advance Care Medical Pcp Georgia, Inc.'s NPI number?

The NPI number for Advance Care Medical Pcp Georgia, Inc. is 1679221030. It was assigned to this organization in the NPPES registry on March 15, 2022. The provider is doing business as Advance Care Meidcal Hiram GA.

Where is Advance Care Medical Pcp Georgia, Inc. located?

Advance Care Medical Pcp Georgia, Inc. is located at 5749 Wendy Bagwell Pkwy, Hiram, GA 30141. The listed phone number is (866) 668-2188.

What is Advance Care Medical Pcp Georgia, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Advance Care Medical Pcp Georgia, Inc. was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.